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Doctor Invokes Tennessee’s Medical Ethics Law to Deny Unmarried Patient Prenatal Care

Formal complaints filed by the patient underscore risks that conscience-based refusals will deepen Tennessee’s maternal health crisis.

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Overview

  • Tennessee’s Medical Ethics Defense Act, effective April 2025, permits providers to refuse treatment when it conflicts with their moral, ethical or religious beliefs.
  • A 35-year-old Jonesborough resident says her OB-GYN cited the law to decline prenatal care after learning she is unmarried.
  • She traveled to Virginia to obtain prenatal services and has filed formal complaints with the Tennessee Department of Commerce and Insurance and the American Medical Association.
  • The patient’s repeated calls to Senator Marsha Blackburn went unanswered and staffers for Senator Bill Hagerty told her he was not obligated to listen to constituents.
  • Critics warn that this refusal could worsen access barriers in a state already facing the nation’s highest maternal mortality rate and a sharp decline in obstetrics residency applications.